MODERN METHODS IN INGUINAL HERNIA TREATMENT
Abstract
The main purpose of our work was to increase efficiency of results of curing patients with inguinal hernia by developing methodology of Liechtenstein. In total 48 patients had a surgery related to inguinal hernia, in 12 cases classical methodology of Liechtenstein was used, and the rest used the modified version. Most of the patients were men-45 of them, there were 3 women, and 33 of working age. All patients had surgery in planned row. Disease prescription was from 2 month to 11 years. Hernia carriers were 11 of patients, which contacted the hospital after detecting incorrigibility hernia sac- 1, pinching – 10. We paid much meaning to early activation of patients, especially those of elderly ages. After the surgery 1 of them had infiltrate, other complications were not noticed. All patients were discharched in satisfactory state. In 6-18 mouths after the monitoring of patients relapse was not detected.
Keywords:
inguinal hernia, surgical treatment, Lichtenstein method, long-term results.References
1. Влияние паховой грыжи на морфофункциональное состояние яичка. [Текст] / [Ю.Б. Кириллов, В.Г. Аристархов, И.В. Зотов и др.]- Рязань: русское слово 2006- 102 с.
2. Гогия Б.Ш. Использование проленовой системы для пластики паховых грыж [Текст] / Б.Ш. Гогия, А.А. Адамян/ хирургия 2002- №4 – с 65-68.
3. Протасов А.В. Влияние различных видов паховой герниопластики на репродуктивную функцию мужчины [Текст]/ А.В. Протасов, Г. М. Рутенбург // Эндоскопическая хирургия 1997. - №4.-С.124-126.
4. Сизякин Д.В. Состояние сперматогенеза у мужчин при паховых грыжах [Текст] / Д.В. Сизякин // Хирургия.-2007.-№8.-С.66-68.
5. Современная тактика хирургического лечения паховых грыж [Текст] / [А.В. Юрасов, Д.А. Федоров А.Л.] // Анналы хирургии -2002-№2-. С. 54-59.
6. Тоскин К.Д. Грыжи живота [Текст]/ К.Д. Тоскин, В.В. Жебровский.-М: Медицина, 1993.-С.-77-172.
7. EU Hernia Trialists Collaboration. Repair of groin hernias with synthetic mesh: meta – analysis of randomized controlled trails [Text] // Ann.Surg.-2002.-#26.-P.1472-1480.
8.Gilberl A.L. Pitfalls and complicaitions of inguinal hernia repair [Text] / A.L. Gilberl; M.E. Arregui, R.F. Nagan, eds. // Inguinal Hernia : Advances or Controversies? – Oxford, England:Radcliffe Medical Press Ltd., 1994.
9. Hildebrandt J. Tension – free methods of surgery of primary inguinal hernias. Comparisons of endoscopic, total extraperitonealhernioplasty with the Lichtenstein operation [Text] / J. Hildebrandt, O. Levantin // Chirurg.-2003- Vol. 74,№10.-P.915-921.
10. Lichtenstein I.L. Herniorrhaphy. A personal experience with 6321 cases [Text] / I.L. Lichtenstein // Amer. J.Surg.-1987.-Vol.-153.-P.553-559.